SpringerLink
Log in

Quality of life and stability of tooth color change at three months after dental bleaching

  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Purpose

Intracoronary bleaching is a minimally invasive, alternative treatment that addresses aesthetic concerns related to non-vital teeth discoloration. However, to the best of our knowledge, no studies have assessed the psychosocial impacts of such procedures on patients’ aesthetic perceptions. The aim of this study was to evaluate aesthetic perceptions and the psychosocial impact of patients up to 3 months after their teeth had been bleached with hydrogen peroxide (35%) and carbamide peroxide (37%) using the walking bleach technique.

Methods

The patients were randomly divided into two groups according to the bleaching agent used: G1 = hydrogen peroxide 35% (n = 25) and G2 = carbamide peroxide 37% (n = 25). Non-vital bleaching was performed in four sessions. Color was objectively (ΔE) and subjectively (ΔSGU) evaluated. Aesthetic perception and psychosocial factors were evaluated before, 1 week and 1 month after the bleaching using the Oral Health Impact Profile (OHIP) and Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) questionnaires.

Results

The color change (ΔE) values at 1 month were G1 = 16.80 ± 6.07 and G2 = 14.09 ± 4.83. These values remained stable until the third month after treatment (p > 0.05). There was a decrease in the values of OHIP-aesthetics and PIDAQ after treatment versus baseline (p < 0.05). This status was maintained through the third month after treatment.

Conclusions

Both agents were highly effective and had a positive impact on the aesthetic perception and psychosocial impact of patients, values that also remained stable over time. Non-vital bleaching yields positive and stable impacts on aesthetic perception and psychosocial factors. ClinicalTrials.gov identifier NCT02718183.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (Germany)

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Samorodnitzky-Naveh, G. R., Geiger, S. B., & Levin, L. (2007). Patients’ satisfaction with dental esthetics. The Journal of the American Dental Association, 138(6), 805–808.

    Article  Google Scholar 

  2. Plotino, G., Buono, L., Grande, N. M., Pameijer, C. H., & Somma, F. (2008). Nonvital tooth bleaching: A review of the literature and clinical procedures. Journal of Endodontics, 34(4), 394–407.

    Article  Google Scholar 

  3. Gupta, S. K., & Saxena, P. (2014). Evaluation of patient satisfaction after non-vital bleaching in traumatized discolored intact anterior teeth. Dental Traumatology, 30(5), 396–399.

    Article  CAS  Google Scholar 

  4. Fernandez, E., Bersezio, C., Bottner, J., Avalos, F., Godoy, I., Inda, D., Vildosola, P., Saad, J., Oliveira, O. B. Jr., & Martin, J. (2017). Longevity, esthetic perception, and psychosocial impact of teeth bleaching by low (6%) hydrogen peroxide concentration for in-office treatment: A randomized clinical trial. Operative Dentistry, 42(1), 41–52.

    Article  CAS  Google Scholar 

  5. Martin, J., Vildosola, P., Bersezio, C., Herrera, A., Bortolatto, J., Saad, J. R., Oliveira, O. B. Jr., & Fernandez, E. (2015). Effectiveness of 6% hydrogen peroxide concentration for tooth bleaching—A double-blind, randomized clinical trial. Journal of Dentistry, 43(8), 965–972.

    Article  CAS  Google Scholar 

  6. Meireles, S. S., Goettems, M. L., Dantas, R. V., Bona, A. D., Santos, I. S., & Demarco, F. F. (2014). Changes in oral health related quality of life after dental bleaching in a double-blind randomized clinical trial. Journal of Dentistry, 42(2), 114–121.

    Article  CAS  Google Scholar 

  7. Attin, T., Paque, F., Ajam, F., & Lennon, A. M. (2003). Review of the current status of tooth whitening with the walking bleach technique. International Endodontic Journal, 36(5), 313–329.

    Article  CAS  Google Scholar 

  8. Sarkis-Onofre, R., Cenci, M. S., Demarco, F. F., Lynch, C. D., Fleming, P. S., Pereira-Cenci, T., & Moher, D. (2015). Use of guidelines to improve the quality and transparency of reporting oral health research. Journal of Dentistry, 43(4), 397–404.

    Article  Google Scholar 

  9. World Medical Association Declaration of Helsinki. (2002). Ethical principles for medical research involving human subjects. Nursing Ethics, 9(1), 105–109.

    Article  Google Scholar 

  10. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191.

    Article  Google Scholar 

  11. Martin, J., Vildosola, P., Bersezio, C., Herrera, A., Bortolatto, J., Saad, J. R. C., Oliveira, O. B., & Fernandez, E. (2015). Effectiveness of 6% hydrogen peroxide concentration for tooth bleaching—A double-blind, randomized clinical trial. Journal of Dentistry, 43(8), 965–972.

    Article  CAS  Google Scholar 

  12. Núñez, L., Dreyer, E., Martin, J., & Moncada, G. (2013). Validation of the OHIP-aesthetic Sp Questionnaire for chilean adults. The Journal of Dental, Oral and Craniofacial Epidemiology, 1(2), 4–9.

    Google Scholar 

  13. Khan, M., & Fida, M. (2008). Assessment of psychosocial impact of dental aesthetics. Journal of the College of Physicians and Surgeons Pakistan, 18(9), 559–564.

    PubMed  Google Scholar 

  14. Montiel-Company, J. M., Bellot-Arcis, C., & Almerich-Silla, J. M. (2013). Validation of the psychosocial impact of dental aesthetics questionnaire (Pidaq) in Spanish adolescents. Medicina Oral Patologia Oral y Cirugia Bucal, 18(1), e168–e173.

    Article  Google Scholar 

  15. Amato, M., Scaravilli, M. S., Farella, M., & Riccitiello, F. (2006). Bleaching teeth treated endodontically: Long-term evaluation of a case series. Journal of Endodontics, 32(4), 376–378.

    Article  Google Scholar 

  16. Wong, A. H., Cheung, C. S., & McGrath, C. (2007). Develo** a short form of ORAL Health Impact Profile (OHIP) for dental aesthetics: OHIP-aesthetic. Community Dentistry and Oral Epidemiology, 35(1), 64–72.

    Article  Google Scholar 

  17. Davis, L. G., Ashworth, P. D., & Spriggs, L. S. (1998). Psychological effects of aesthetic dental treatment. Journal of Dentistry, 26(7), 547–554.

    Article  CAS  Google Scholar 

  18. Klages, U., Bruckner, A., & Zentner, A. (2004). Dental aesthetics, self-awareness, and oral health-related quality of life in young adults. European Journal of Orthodontics, 26(5), 507–514.

    Article  Google Scholar 

  19. Onyeaso, C. O., Utomi, I. L., & Ibekwe, T. S. (2005). Emotional effects of malocclusion in Nigerian orthodontic patients. The Journal of Contemporary Dental Practice, 6(1), 64–73.

    PubMed  Google Scholar 

  20. de Oliveira, C. M., & Sheiham, A. (2004). Orthodontic treatment and its impact on oral health-related quality of life in Brazilian adolescents. Journal of Orthodontics, 31(1), 20–27. (discussion 15).

    Article  Google Scholar 

  21. Hayran, O., Mumcu, G., Inanc, N., Ergun, T., & Direskeneli, H. (2009). Assessment of minimal clinically important improvement by using Oral Health Impact Profile-14 in Behcet’s disease. Clinical and Experimental Rheumatology, 27(2 Suppl 53), S79–S84.

    CAS  PubMed  Google Scholar 

Download references

Funding

This work was supported by the CONICYT - Fondecyt (Grant No. 1170575).

Author information

Authors and Affiliations

  1. Department of Restorative Dentistry, Faculty of Dentistry, University of Chile, Independencia, Santiago, Chile

    Cristian Bersezio, Javier Martín, Carla Mayer, Oriana Rivera, Juan Estay, Pablo Angel & Eduardo Fernández

  2. Department of Restorative Dentistry, School of Dentistry, University Estadual Paulista-UNESP, Araraquara, CEP 14801-903, Brazil

    Cristian Bersezio & Osmir B. Oliveira Jr.

  3. Departament of Conservative Dentistry, Faculty of Dentistry, University of Chile, Independencia, Santiago, Chile

    Rolando Vernal

  4. BioMAT’X, Centro de Investigación Biomédica, Facultad de Medicina, Universidad de los Andes, Av. Mons. Álvaro del Portillo, 12.455, Las Condes, Santiago, Chile

    Ziyad S. Haidar

  5. Faculty of Dentistry, Universidad Los Andes, Av. Mons. Álvaro del Portillo, 12.455, Las Condes, Santiago, Chile

    Ziyad S. Haidar

  6. Instituto de Ciencias Biomédicas, Universidad Autónoma de Chile, Av. Pedro de Valdivia 425, Providencia, Santiago, Chile

    Rolando Vernal & Eduardo Fernández

Authors
  1. Cristian Bersezio
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Javier Martín
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Carla Mayer
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Oriana Rivera
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Juan Estay
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Rolando Vernal
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Ziyad S. Haidar
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Pablo Angel
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Osmir B. Oliveira Jr.
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Eduardo Fernández
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Eduardo Fernández.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (DOC 219 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bersezio, C., Martín, J., Mayer, C. et al. Quality of life and stability of tooth color change at three months after dental bleaching. Qual Life Res 27, 3199–3207 (2018). https://doi.org/10.1007/s11136-018-1972-7

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-018-1972-7

Keywords

Search

Navigation